Individual
ALEXANDER MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 PEPPERELL PKWY, OPELIKA, AL 36801-5452
(334) 528-1112
Mailing address
2000 PEPPERELL PKWY, OPELIKA, AL 36801-5452
(334) 528-1112
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-140153
AL
363L00000X
Nurse Practitioner
1-140153
AL
363LF0000X
Family Nurse Practitioner
Primary
1-140153
AL
Other
Enumeration date
08/09/2021
Last updated
10/15/2024
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